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5 Antegrade aortic mid-foot ( arch ) gain access to may be previously documented for treatment of distal aortic arch or climbing down from thoracic aortic aneurysms.3?and?4 Direct access to the aortic mid-foot ( arch ) can been effectively achieved via aortotomy between the still left common carotid and also subclavian blood vessels, suturing?the proximal finish of the stent-graft circumferentiall

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